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Case report
Cardiac arrest after a cerebral gas embolism. Case report
Paro cardiaco tras embolia gaseosa cerebral. Caso clínico
E. Ferreiraa,
Corresponding author
elisammf@gmail.com

Corresponding author.
, E. Franciscob, S. Ferrazc, A. Panzinaa, A.I. Pereiraa, R. Teixeiraa
a Department of Anaesthesiology, Centro Hospitalar Vila Nova de Gaia/Espinho, Rua Conceição Fernandes, Vila Nova de Gaia, Portugal
b Department of Anaesthesiology, Centro Hospitalar Tondela-Viseu, Viseu, Portugal
c Department of Anaesthesiology, Centro Hospitalar Lisboa Ocidental, Lisboa, Portugal
Received 15 November 2019. Accepted 13 January 2020
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Abstract

Cerebral arterial gas embolism is a serious and often iatrogenic fatal event associated with invasive procedures. It is a possible cause of a cardiac arrest and the diagnosis is challenging. We report a case of a cardiac arrest after a cerebral arterial gas embolism, in a 63-year-old male subjected to a Computed Tomography-guided Transthoracic Needle Aspiration Biopsy, which was successfully managed with hyperbaric oxygen therapy.

Keywords:
Cerebral arterial gas embolism
Cardiac arrest
Hyperbaric oxygen therapy
Resumen

El embolismo gaseoso arterial cerebral es un episodio grave y frecuentemente iatrogénico fatal, asociado a procedimientos invasivos. Se trata de una causa posible de paro cardiaco, y el diagnóstico es difícil. Reportamos un caso de paro cardiaco tras una embolia gaseosa en arteria cerebral, en un varón de 63 años sometido a biopsia por aspiración transtorácica con aguja ecoguiada por TAC, que fue exitosamente tratado con oxigenoterapia hiperbárica.

Palabras clave:
Embolia gaseosa en arteria cerebral
Paro cardiaco
Oxigenoterapia hiperbárica

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